Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 May 3;15(5):e38503.
doi: 10.7759/cureus.38503. eCollection 2023 May.

Outcome of the Masquelet Technique for Complex Bilateral Distal Femoral Bone Defects

Ziad A Aljaafri  1   2 , Abdullah Alzahrani  3   2 , Ali Alshehri  3   2 , Ahmed AlHussain  3   2 , Faisal Alzahrani  3   2 , Khalid Alsheikh  4   2
Affiliations
Case Reports

Outcome of the Masquelet Technique for Complex Bilateral Distal Femoral Bone Defects

Ziad A Aljaafri et al. Cureus. .

Abstract

Bone defects are severe conditions caused by various etiologies, including trauma, tumor resection, or chronic osteomyelitis. Different surgical interventions can be utilized to manage such cases, including autologous graft or allograft implantation, distraction osteogenesis, acute shortening, amputation, or the induced membrane technique. Herein, the case of a 39-year-old woman with complex bilateral distal femoral fractures with intra-articular extension is presented. The fractures were accompanied by a significant metaphyseal bone defect, which was managed successfully using the induced membrane Masquelet technique. The patient fully healed despite residual knee joint contractures that did not inhibit her mobility. In conclusion, the Masquelet technique successfully manages complex bone defects and restores functionality even in bilateral simultaneous open bone defects.

Keywords: bilateral distal femur; bone defect; case report; intraarticular fractures; masquelet technique; mva (motor vehicle accident).

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. (A) Anteroposterior and (B) lateral radiographs of the right distal femur. (C) Anteroposterior and (D) lateral radiographs of the left distal femur.
Figure 2
Figure 2. (A) Anteroposterior radiograph of the right distal femur. (B) Anteroposterior radiograph of the left distal femur.
Figure 3
Figure 3. (A) Anteroposterior radiograph of the right distal femur. (B) Anteroposterior radiograph of the left distal femur.
Figure 4
Figure 4. (A) Anteroposterior and (B) lateral radiographs of the right distal femur. (C) Anteroposterior and (D) lateral radiographs of the left distal femur.
Figure 5
Figure 5. (A) Anteroposterior radiograph of the bilateral distal femur. (B) Lateral radiograph of the right distal femur; (C) Lateral radiograph of the left distal femur.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Current management of long bone large segmental defects. Lasanianos NG, Kanakaris NK, Giannoudis PV. Orthop Trauma. 2010;24:149–163.
    1. Management of segmental bone defects. [ May; 2022 ];Mauffrey C, Barlow BT, Smith W. J Am Acad Orthop Surg. 2015 23:143–153. - PubMed
    1. Bone defects are repaired by enhanced osteogenic activity of the induced membrane: a case report and literature review. Lu Y, Wang J, Yang Y, Yin Q. BMC Musculoskelet Disord. 2021;22:447. - PMC - PubMed
    1. The concept of induced membrane for reconstruction of long bone defects. Masquelet AC, Begue T. Orthop Clin North Am. 2010;41:27–37. - PubMed
    1. Reconstruction of the long bones by the induced membrane and spongy autograft [Article in French] Masquelet AC, Fitoussi F, Begue T, Muller GP. http://10929461. Ann Chir Plast Esthet. 2000;45:346–353. - PubMed

Publication types

LinkOut - more resources